Sally, my two thoughts on this query are:
1) I've seen babies with tongue-tie, who had been thriving, very suddenly
have their growth falter, in one case just during the short time the parents
were waiting for an appointment to have the TT clipped. Poor milk transfer.
The mother was set up with a home-made supplementer by the child health
nurse who saw her during this week or so. This showed me how suddenly this
can happen.
2) The pump, a manual one. It is not generally realised that pumps can be
faulty, and not generate enough negative pressure (suction). I've seen this
with brand new pumps from well-known brands. In this region, I've heard of
a spike in faulty manual pumps last year, suggesting poor quality control.
However, I've also seen a new middle-range electric pump, reliable brand,
that was faulty. I also see second-hand pumps or those used by the mother
with a previous baby, where the seals may be ineffective after going through
a long hot summer or two - and in Canberra, Sally, you had a very hot summer
this year.
Best wishes,
Virginia
Dr Virginia Thorley, OAM, PhD, IBCLC, FILCA
Brisbane, Qld, Australia
-----Original Message-----
From: sally etheridge
Sent: Monday, May 19, 2014 8:55 PM
To: [log in to unmask]
Subject: Milk 'disappearing' suddenly?
In the past week I have had two instances of a situation I have not come
across before, where a mother and baby who seemed to be feeding well and
getting bf established effectively reported signs that there was a sudden
and dramatic drop in milk production. In the forst case, the baby did have
tongue tie and the mother was waiting for a referral, but the baby showed
signs of feeding well, and the mother had also been expressing - although it
was a manual pump that was not esp effective. I saw her one day and helped
with getting her and the baby more comfortable, and watched him feeding in a
couple of positions. she was also expressing a reasonable amount of milk as
she had been giving that and formula because he had not been attaching or
sustaining feeds well. Next day she called very distressed as the baby was
not satisfied, and she was not managing to get more than a few drops. I
visited and saw that the baby was indeed no longer swallowing. I took an
electric pump and she started expressing more often.
The second case was a mother who I had been supporting from day 2, and had
seen her establish bf slowly but well, also called me this morning to say
breasts no longer dripping (now day 10) and baby very unhappy and screaming
at the breast, and not sustaining effective feeds since yesterday. She has
now gone to get baby checked at doctor's to rule out illness, but the sudden
overnight change in signs of good production again is bizarre?
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